Provider Demographics
NPI:1720327158
Name:AKINS, TROY ALAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:ALAN
Last Name:AKINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-3728
Mailing Address - Country:US
Mailing Address - Phone:307-682-2034
Mailing Address - Fax:307-682-2968
Practice Address - Street 1:100 WARREN AVE
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3728
Practice Address - Country:US
Practice Address - Phone:307-682-2034
Practice Address - Fax:307-682-2034
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1720327158Medicaid